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A Study on the Advancement of Accreditation Systems and Surveyors' Expertise for Long-term Care Facilities: Focusing on Overseas Cases

해외 사례 고찰을 통한 지자체 노인요양시설 인증 체계 및 조사원 고도화 방안

  • Seo, Yun Jeong (Evaluation.Accreditation Team, Seoul Welfare Foundation) ;
  • Lee, Soonsung (Evaluation.Accreditation Team, Seoul Welfare Foundation) ;
  • Seo, Dong-Min (Department of Social Welfare, Baekseok University) ;
  • Yoon, Ju Young (College of Nursing.The Research Institute of Nursing Science, Seoul National University) ;
  • Sagong, Hae (College of Nursing, Seoul National University) ;
  • Kim, Da Eun (College of Nursing, Seoul National University)
  • 서윤정 (서울시복지재단 연구평가본부 평가인증팀) ;
  • 이순성 (서울시복지재단 연구평가본부 평가인증팀) ;
  • 서동민 (백석대학교 사회복지학부) ;
  • 윤주영 (서울대학교 간호대학.간호과학연구소) ;
  • 사공혜 (서울대학교 간호대학) ;
  • 김다은 (서울대학교 간호대학)
  • Received : 2018.08.30
  • Accepted : 2018.09.28
  • Published : 2018.10.31

Abstract

Purpose: This study aimed to suggest strategies for advancing local-government-based accreditation systems and surveyor training in long-term care facilities in Korea. Methods: A comprehensive review of the literature including research papers and official reports issued by governments from the United States, Australia, and Japan was conducted to explore domestic and international policies related to long-term care facility certification and accreditation systems. Results: The USA has two types of care quality assurance systems including mandatory certification (5-star rating system) by the Centers for Medicare and Medicaid Services and voluntary accreditation by the Joint Commission on Accreditation of Healthcare Organizations. Australia operates a government-based mandatory accreditation system for all long-term care facilities through the Australian Aged Care Quality Agency. Japan, particularly the Tokyo district, operates a third-party evaluation system that involves the voluntary participation of long-term care facilities. Conclusion: This study provides several strategies to enhance accreditation processes and surveyors'expertise. For instance, motivating facilities to voluntarily participate in accreditation is necessary by 1) providing sufficient and continuous consultations and feedback about how to improve care quality, 2) differentiating accreditation domains and indicators from the national health insurance certification system, and 3) actively utilizing accreditation results and providing incentives.

Keywords

References

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